Gaines, Wendy
Gaines, Wendy is an individual health care provider with primary practice located at 9 Hope Ave Ste 151, Waltham MA 02453-2741. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gaines, Wendy can be contacted via phone (781) 788-8444.Contact Information
Primary practice address
9 Hope Ave Ste 151
Waltham MA 02453-2741
Phone: (781) 788-8444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 150709 | Massachusetts |
Profile Details
| NPI number | 1114997970 |
|---|---|
| LBN Legal business name | Gaines, Wendy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 8th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114997970 | NPPES |
| Massachusetts | MEDICAID | 3161781 |
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